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AMA Urges House to Pass 'Doc Fix' Extension

John Commins, for HealthLeaders Media, December 9, 2010

Senate leaders patted each other on the back after approving the extension, which demonstrated a rare show of bipartisanship on Capitol Hill.

"This bipartisan agreement gives peace of mind to seniors and military families in Nevada and across the nation," said Senate Majority Leader Harry Reid (D-NV).  "We ensured that our seniors and veterans can continue seeing their doctors and getting the treatment they need."

Senate Minority Leader Mitch McConnell (R-KY) said he was "encouraged that we were able to work together in a bipartisan way and protect access to care for America's 45 million Medicare beneficiaries in a fiscally responsible manner."

Reid's office said the legislation would be paid for by modifying the policy regarding overpayments of the healthcare affordability tax credit.  This policy does not change the tax credits for which people are eligible based on their income.  Instead, the proposal would change the way people pay back overpayments when they have received more credit than they are eligible for because, for example, they earned more money than expected in a given year.   

Under current law there is a flat cap of $250 for individuals and $400 for families on the amount of the healthcare affordability tax credit people are required to pay back when they received an overpayment. This payback cap is the same for people earning 160% of the federal poverty level and 360% of the federal poverty level.  Under this proposal for correcting overpayments, the cap on the payback amount would be on a sliding scale based on the income of the recipient of the tax credit, making the policy fairer to both recipients and all taxpayers, Reid's office said. 
  


John Commins is a senior editor with HealthLeaders Media.

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